Heritage House
Skilled Nursing Facility in Wilkes Barre, PA. Organization (NPI-2).
NPI number1013914589
StatusActive
Last updated in NPPESJul 13, 2007
Details
- NPI
- 1013914589
- Entity type
- Organization (NPI-2)
- Legal business name
- Heritage House
- Organization subpart
- No
- Enumeration date
- Jun 30, 2005
- Last updated
- Jul 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 600602 | PA | Yes |
Practice location
80 E Northampton StWilkes Barre, PA 18701-3035
Phone 570-826-1031 · Fax 570-826-5053
Mailing address
80 E Northampton StWilkes Barre, PA 18701-3035
Phone 570-826-1031 · Fax 570-826-5053
Authorized official
Andrew B Durako
Executive Director
5708261031
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